A 69 year old woman has had a stroke. Her left upper and lower limbs are paralyzed and she is having difficulty in speaking. Which anatomical site is most likely affected?

The key is C. internal capsule. [Hippocampal lesion causes mainly memory impairment. Cerebellum

has its diagnostic features that is not present here. Thalamic lesion can lead to impairment of arousal,

orientation, learning and memory, facial paresis, language deficit, hemispatial neglect, hemisensory loss,

hemiparesis, hemiataxia and visual field defect. Brainstem stroke causes impaired consciousness,

disorder of blood pressure, and breathing abnormality. Given picture is typical of lesion in internal

capsule].